| Asthma medication adherence: the role of God and other health locus of control factors. | |
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MedLine Citation:
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PMID: 23352524 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Medication adherence is an important determinant of disease outcomes, yet medication use on average tends to be low among patients with chronic conditions, including asthma. Although several predictors of non-adherence have been assessed, more research is needed on patients' beliefs about God and how these relate to medication use. OBJECTIVE: To examine the relationship between perceptions about "God's" role in health and other locus of control factors with inhaled corticosteroid (ICS) adherence among asthma patients. METHODS: Participants were from a clinical trial to improve ICS adherence and were 5-56 years old, had a diagnosis of asthma, and were receiving ICS medication. Baseline adherence was estimated from electronic prescription and pharmacy fill records. Patients were considered to be adherent if ICS use was ≥80% of prescribed. A baseline survey with the Multidimensional Health Locus of Control scale was used to assess five sources (God, doctors, other people, chance, and internal). RESULTS: Medication adherence was low (36%). Patients' who had a stronger belief that God determined asthma control were less likely to be adherent (odds ratio [OR] 0.82, 95% confidence interval [CI] 0.70-0.96). This relationship was stronger among African American (OR 0.68, 95% CI0.47-0.99) compared to white patients (OR 0.89, 95% CI 0.75-1.04), and among adults (OR 0.81, 95% CI 0.69-0.96) compared to children (OR 0.84, 95% CI 0.58-1.22). CONCLUSION: Patients' belief in God's control of health appears to be a factor in asthma controller use, and therefore should be considered in physician-patient discussions concerning course of treatment. TRIAL REGISTRATION: ClinicalTrials.gov: NCT00459368. |
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Authors:
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Brian K Ahmedani; Edward L Peterson; Karen E Wells; Cynthia S Rand; L Keoki Williams |
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Publication Detail:
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Type: Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't Date: 2012-12-07 |
Journal Detail:
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Title: Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology Volume: 110 ISSN: 1534-4436 ISO Abbreviation: Ann. Allergy Asthma Immunol. Publication Date: 2013 Feb |
Date Detail:
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Created Date: 2013-01-28 Completed Date: 2013-04-02 Revised Date: 2013-04-16 |
Medline Journal Info:
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Nlm Unique ID: 9503580 Medline TA: Ann Allergy Asthma Immunol Country: United States |
Other Details:
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Languages: eng Pagination: 75-9.e2 Citation Subset: IM |
Copyright Information:
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Copyright © 2013 American College of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Center for Health Policy and Health Services Research, Henry Ford Health System, Detroit, Michigan 48202, USA. bahmeda1@hfhs.org |
| Data Bank Information | |
Bank Name/Acc. No.:
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ClinicalTrials.gov/NCT00459368 |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Asthma / drug therapy*, psychology Child Child, Preschool Female Humans Male Medication Adherence / psychology* Middle Aged Religion* |
| Grant Support | |
ID/Acronym/Agency:
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R01 AI079139/AI/NIAID NIH HHS; R01 DK064695/DK/NIDDK NIH HHS; R01 HL079055/HL/NHLBI NIH HHS; R01AI061774/AI/NIAID NIH HHS; R01AI079139/AI/NIAID NIH HHS; R01DK064695/DK/NIDDK NIH HHS; R01HL079055/HL/NHLBI NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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